Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi
Yıl: 2020 Cilt: 7 Sayı: 1 Sayfa Aralığı: 16 - 22 Metin Dili: Türkçe DOI: 10.4274/jtsm.galenos.2020.87587 İndeks Tarihi: 06-05-2021
Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi
Öz: Amaç: Çalışmanın amacı, sağlıklı ve dengeli beslenmek için hipnoterapi seansına başvuran obezite hastalarında uygulanan hipnoterapinin, hastaların uyku kalitelerine olan etkisini değerlendirmektir. Gereç ve Yöntem: Çalışma grubu; bir devlet hastanesi psikiyatri polikliniğine başvuran, gönüllü olarak araştırmaya katılmayı kabul eden, Beden Kitle indeksleri 30 ve üstü olan, en az 10 haftalık seansı tamamlayan toplam 44 bireyden oluştu. Katılımcılara ilk önce; bilgi formu düzenlendi ve Beden Kitle indeksleri belirlendi. Her katılımcıya seansa başlamadan önce Pittsburgh Uyku Kalitesi indeksi uygulandı. Bundan sonra haftada 1 seans olmak üzere en az 10 hafta boyunca hipnoterapi seansı uygulandı. En az 10 haftalık seans bitiminde tekrar Beden Kitle indeksleri belirlenip Pittsburgh Uyku Kalitesi indeksi uygulandı. Terapi başlangıcı ve bitimindeki Beden Kitle ve Pittsburgh Uyku Kalitesi indekslerinin, karşılaştırılması yapılarak hipnoterapinin etkinliği değerlendirildi. Bulgular: Beden Kitle indeksleri, Pittsburgh Uyku Kalitesi ölçeği puanlarının hipnoterapi öncesi ve sonrası karşılaştırılmasında; anlamlı değişiklikler saptandı (p<0,001). Beden Kitle indeksleri ile Pittsburgh Uyku Kalitesi indeksleri arasında anlamlı bir korelasyon tespit edilemedi.Sonuç: Bu araştırma obezite tedavisinde uygulan hipnoterapinin, obezite hastalarındaki uyku kalitesi üzerine olumlu etkisinin olduğunu gösterdi. Bu alanda kontrol grubu oluşturarak, daha fazla kişide ve daha uzun vadede etkinliğini inceleyecek yeni çalışmalara ihtiyaç vardır.
Anahtar Kelime: The Effect of Hypnotherapy on Sleep Quality in Obesity Patients
Öz: Objective: The aim of this study is to assess the effect of hypnotherapyon sleep quality levels of obesity patients, who applied to hypnotherapyfor healthy and balanced nutrition.Materials and Methods: Studying group; consisted of 44 individualswho applied to a state hospital psychiatry outpatient clinic, whovoluntarily agreed to participate in the study, who had a Body Massindex of 30 and above, and completed at least 10 weeks of sessions.Firstly, an information form was prepared for the participants and bodymass index were determined. Pittsburgh Sleep Quality index was appliedto each participant before starting to session. Then, hypnotherapysession was applied to participants for at least 10 weeks, one sessionper week. After at least 10 sessions of hypnotherapy, Body Mass indexand Pittsburgh Sleep Quality index were measured. The efficacy ofhypnotherapy was assessed by the comparison of Body Mass index andPittsburgh Sleep Quality index at the beginning and end of the therapy. Results: Statistically significant differences were detected in thecomparison of body mass index and Pittsburgh Sleep Quality indexscores before and after the hypnotherapy (p<0.001). There was nosignificant correlation between the scores of Body Mass index andPittsburgh Sleep Quality index. Conclusion: This study showed that hypnotherapy in the treatment ofobesity has a positive effect on sleep quality in obese patients. There is aneed for new studies that will examine the effectiveness of this group byestablishing a control group in more people and the long term.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Karadağ M. Uyku bozuklukları sınıflaması (ICSD-2). Turkiye Klinikleri Arch Lung 2007;8:88-91.
- 2. Bingol N. Hemşirelerin uyku kalitesi, iş doyumu düzeyleri arasındaki ilişkinin incelenmesi. Yüksek Lisans Tezi. Cumhuriyet Üniversitesi, 2006.
- 3. Fadıloğlu C, İlkbay Y, Yıldırım Y. Huzurevinde kalan yaşlılarda uyku kalitesi. Turkish Journal of Geriatrics 2006;9:165-9.
- 4. Engin E. Ege Üniversitesi Tıp Fakültesi Hastanesi yoğun bakım hemşirelerinin uyku düzen özellikleri ile iş doyumu arasındaki ilişkinin incelenmesi. İzmir, E.Ü.Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi, 1999.
- 5. Atay T. Uyku Bozukluklarının Temel Belirtileri, Uyku Fizyolojisi ve Hastalıkları. İçinde: Kaynak H, Ardıç S. (eds). Türk Uyku Tıbbı Derneği Yayını , 2011:111-7.
- 6. Evangelou C, Kartakoullis N, Hadjicharalambous M, Aphamis G, Hadjimarkou M, Sakkas GK, Giannaki CD. Depressive symptoms, sleep quality, physical fitness, and fatigue among adult women with different obesity status. Sport Sci Health 2019;15:605-14.
- 7. Roveda E, Montaruli A, Galasso L, Pesenti C, Bruno E, Pasanisi P, Cortellini M, Rampichini S, Erzegovesi S, Caumo A, Esposito F. Restactivity circadian rhythm and sleep quality in patients with binge eating disorder. Chronobiol Int 2018;35:198-207.
- 8. Rahe C, Czira ME, Teismann H, Berger K. Associations between poor sleep quality and different measures of obesity. Sleep Med 2015;16:1225-8.
- 9. Logue EE, Scott ED, Palmieri PA, Dudley P. Sleep duration, quality, or stability and obesity in an urban family medicine center. J Clin Sleep Med 2014;10:177-82.
- 10. Mesarwi O, Polak J, Jun J, Polotsky VY. Sleep disorders and the development of insulin resistance and obesity. Endocrinol Metab Clin North Am 2013;42:617-34.
- 11. Araghi MH, Jagielski A, Neira I, Brown A, Higgs S, Thomas GN, Taheri S. The complex associations among sleep quality, anxiety, depression, and quality of life in patients with extreme obesity. Sleep 2013;36:1859-65.
- 12. Jennings JR, Muldoon MF, Hall M, Buysse DJ, Manuck SB. Self reported sleep quality is associated with the metabolic syndrome. Sleep 2007;30:219-23.
- 13. Prather AA, Puterman E, Epel ES, Dhabhar FS. Poor sleep quality potentiates stress-induced cytokine reactivity in postmenopausal women with high visceral abdominal adiposity. Brain Behav Immun 2015;35:155-62.
- 14. Kritikou I, Basta M, Tappouni R, Pejovic S, Fernandez-Mendoza J, Nazir R, Shaffer ML, Liao D, Bixler EO, Chrousos GP, Vgontzas AN. Sleep apnoea and visceral adiposity in middle-aged male and female subjects. Eur Respir J 2012;41:601-9.
- 15. Drager LF, Togeiro SM, Polotsky VY, Lorenzi-Filho G. Obstructive sleep apnea: A cardiometabolic risk in obesity and the metabolic syndrome. J Am Coll Cardiol 2013;62:569-76.
- 16. Vgontzas AN, Bixler EO, Chrousos GP, Pejovic S. Obesity and sleep disturbances: Meaningful sub-typing of obesity. Arch Physiol Biochem 2008;114:224-36.
- 17. Hamilton NA, Nelson CA, Stevens N, Kitzman H. Sleep and psychological well-being. Social Indicators Research 2007;82:147-63.
- 18. Elkins GR, Barabasz AF, Council JR, Spiegel D. Advancing research and practice: The revised APA division 30 definition of hypnosis. Int J Clin Exp Hypn. 2015; 63:1-9.
- 19. Lynn SJ, Laurence J, Kirsch I. Hypnosis, suggestion, and suggestibility: An integrative model. Am J Clin Hypn 2015;57:314-29.
- 20. Sadock BJ, Sadock VA. Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry. Philadelphia, USA, Lippincott Williams & Wilkins, 2008:463-4.
- 21. Yapko MD. Hypnosis in the treatment of depression: An overdue approach for encouraging skillful mood management. Int J Clin Exp Hypn 2010;58:137-46.
- 22. Milling LS, Valentine KE, McCarley HS, LoStimolo LM. A meta-analysis of hypnotic interventions for depression symptoms: High hopes for hypnosis? Am J Clin Hypn 2018;61:227-43.
- 23. Valentine KE, Milling LS, Clark LJ, Moriarty CL. The efficacy of hypnosis as a treatment for anxiety: A metaanalysis. Int J Clin Exp Hypn 2019;67:336-63.
- 24. Milling LS, Gover MC, Moriarty CL. The effectiveness of hypnosis as an intervention for obesity: A meta-analytic review. Psychology of Consciousness: Theory, Research, and Practice 2018;5:29-45.
- 25. McCall WV. Cognitive behavioral therapy for insomnia (CBT-I): What is known, and advancing the science by avoiding the pitfalls of the placebo effect. Sleep Med Rev 2018;38:1-2.
- 26. Neuendorf R, Wahbeh H, Chamine I, Yu J, Hutchison K, Oken BS. The effects of mind-body interventions on sleep quality: A systematic review. Evid Based Complement Alternat Med 2015;2015:902708.
- 27. Chamine I, Atchley R, Oken BS. Hypnosis Intervention effects on sleep outcomes: A systematic review. J Clin Sleep Med 2018;14:271-83. 28. Becker PM. Hypnosis in the management of sleep disorders. Sleep Med Clin 2015;10:85-92.
- 29. Hartland J. Medical and Dental Hypnosis And its Clinical Applications, 2nd ed. Bailliere Tindall, London, 1971.
- 30. Buysse DJ, Reynolds CF 3 rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213.
- 31. Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin geçerliği ve güvenirliği. Türk Psikiyatri Derg 1996;7:107-11.
- 32. Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK, Malaspina D. Sleep duration associated with mortality in elderly, but not middle-aged, adults in a large US sample. Sleep 2008;31:1087-96.
- 33. Beccuti G, Pannain S. Sleep and obesity. Curr Opin Clin Nutr Metab Care 2011;14:402-12.
- 34. Kamath MG, Prakash J, Dash S, Chowdhury S, Ahmed ZB, Yusof MZ. Is there an association between self reported sleep duration, body mass index and waist-hip ratio in young adults? A cross-sectional pilot study. J Clin Diagn Res 2014;8:5-7.
- 35. Kraft D, Kraft T. The place of hypnosis in psychiatry: Its applications in treating anxiety disorders and sleep disturbances. Australian Journal of Clinical and Experimental Hypnosis 2006;34:187-203.
- 36. Lam TH, Chung KF, Yeung WF, Yu BY, Yung KP, Ng TH. Hypnotherapy for insomnia: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med 2015;23:719-32.
- 37. Stanton HE. Hypnotic relaxation and the reduction of sleep onset insomnia. Int J Psychosom 1989;36:64-8.
- 38. Hauri PJ, Silber MH, Boeve BF. The treatment of parasomnias with hypnosis: A 5-year follow-up study. J Clin Sleep Med 2007;3:369-73. 39. Hammond DC. Handbook of Hypnotic Suggestions and Metaphors. Norton, New York WW, 1990:220-1.
- 40. Ng BY, Lee TS. Hypnotherapy for sleep disorders. Ann Acad Med Singapore 2008;37:683-8.
- 41. Eitner S, Wichmann M, Schultze-Mosgau S, Schlegel A, Leher A, Heckmann J, Heckmann S, Holst S. Neurophysiologic and longterm effects of clinical hypnosis in oral and maxillofacial treatment- -A comparative interdisciplinary clinical study. Int J Clin Exp Hypn 2006;54:457-79.
- 42. Satsangi AK, Brugnoli MP. Anxiety and psychosomatic symptoms in palliative care: From neuro-psychobiological response to stress, to symptoms’ management with clinical hypnosis and meditative states. Ann Palliat Med 2018;7:75-111.
- 43. McNeal S, Frederick C. Inner strength and other techniques for ego strengthening. Am J Clin Hypn 1993;35:170-8.
- 44. Taheri M, Irandoust K. The exercise-ınduced weight loss ımproves self-reported quality of sleep in obese elderly women with sleep disorders. Sleep Hypn 2018;20:54-9.
- 45. Reid KJ, Baron KG, Lu B, Naylor E, Wolfe L, Zee PC. Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Med 2010;11:934-40.
- 46. Schoenberger NE, Kirsch I, Gearan P, Montgomery G, Pastyrnak SL. Hypnotic enhancement of a cognitive behavioral treatment for public speaking. Behavior Therapy 1997;28:127-40.
| APA | Erşan E (2020). Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. , 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| Chicago | Erşan Etem Erdal Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. (2020): 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| MLA | Erşan Etem Erdal Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. , 2020, ss.16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| AMA | Erşan E Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. . 2020; 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| Vancouver | Erşan E Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. . 2020; 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| IEEE | Erşan E "Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi." , ss.16 - 22, 2020. 10.4274/jtsm.galenos.2020.87587 |
| ISNAD | Erşan, Etem Erdal. "Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi". (2020), 16-22. https://doi.org/10.4274/jtsm.galenos.2020.87587 |
| APA | Erşan E (2020). Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. Türk Uyku Tıbbı Dergisi, 7(1), 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| Chicago | Erşan Etem Erdal Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. Türk Uyku Tıbbı Dergisi 7, no.1 (2020): 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| MLA | Erşan Etem Erdal Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. Türk Uyku Tıbbı Dergisi, vol.7, no.1, 2020, ss.16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| AMA | Erşan E Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. Türk Uyku Tıbbı Dergisi. 2020; 7(1): 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| Vancouver | Erşan E Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi. Türk Uyku Tıbbı Dergisi. 2020; 7(1): 16 - 22. 10.4274/jtsm.galenos.2020.87587 |
| IEEE | Erşan E "Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi." Türk Uyku Tıbbı Dergisi, 7, ss.16 - 22, 2020. 10.4274/jtsm.galenos.2020.87587 |
| ISNAD | Erşan, Etem Erdal. "Hipnoterapinin Obezite Hastalarındaki Uyku KalitesineEtkisi". Türk Uyku Tıbbı Dergisi 7/1 (2020), 16-22. https://doi.org/10.4274/jtsm.galenos.2020.87587 |
